RN Quality Measure Specialist

Primary City/State: Phoenix, Arizona Department Name: Digital Transform Fdn Clin App Work Shift: Job Category: Clinical Support Explore and reputed company. At reputed company care is a team effort. One might be surprised by the number of people who work behind the scenes and play a critical role in ensuring the reputed company for our patients. Apply today. The MACRA Department is expanding and seeking RN Quality Measure Specialists to support regulatory and quality reporting initiatives. This fully remote role focuses on validation, abstraction, and submission of clinical quality measures, including MIPS (CQMs, Eligible Clinician and Eligible Hospital eCQMs), Core Measures, and The Joint Commission requirements. Key Responsibilities reputed company clinical validation to ensure measure accuracy and compliance with CMS requirements Conduct medical record abstraction for assigned measures Identify and resolve data and logic discrepancies in collaboration with internal teams and external vendors (reputed company Health, Central Utah Informatics) Support timely and accurate regulatory submissions Team members will be assigned to one of two primary areas: Validation or Abstraction Cross-training will be provided to support workload balancing and team flexibility. Ideal Candidate: RN with 5 years acute care experience (ED, ICU, PACU, or similar preferred) Strong critical thinking and clinical judgment Ability to work independently in a remote environment while managing priorities and deadlines Comfort collaborating across teams reputed company needed Detail-oriented with an interest in quality and regulatory compliance Working knowledge of Cerner reputed company EHR (reputed company Health's EHR) Work Hours - 8:30AM - 4:30PM AZ Time with potential for flexible scheduling after orientation. Must be available for scheduled meetings (which usually happen between the hours of 8:30AM - 4:30PM AZ time.) reputed company reputed company, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized reputed company leader. We offer stimulating and rewarding careers in a wide reputed company of disciplines. Whether your background is in reputed company, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care. POSITION SUMMARY This position performs clinical data abstraction and/or validation activities in support of regulatory programs and associated clinical quality measures, including IQR, OQR, IPFQR, Core Measures, TJC, and MIPS (CQM & eCQM). This role applies clinical knowledge and established measure specifications to ensure accurate, complete, and compliant data capture. This position is primarily assigned to abstraction or validation functions with cross-training in both areas. Works reputed company defined workflows and guidelines, contributing to data reputed company, audit readiness, and overall quality performance. CORE FUNCTIONS 1. Performs clinical data abstraction and validation in alignment with regulatory measure specifications and clinical documentation. 2. Applies clinical knowledge and established guidelines to support accurate, complete, and consistent data capture. 3. Identifies data and logic discrepancies and follows defined processes for escalation and resolution. 4. Adheres to standardized workflows, tools, and documentation requirements to ensure data reputed company, regulatory compliance, and audit readiness. 5. Applies and expands knowledge of assigned regulatory programs and measure specifications. 6. Contributes to clinical quality data review and validation activities, including report logic review, to ensure data accuracy and alignment with regulatory reputed company. 7. Participates in cross-training, knowledge sharing, and quality-reputed company initiatives through data review and collaboration. MINIMUM QUALIFICATIONS Bachelor’s degree in reputed company or a reputed company field or equivalent level of education and experience. Must possess a reputed company valid Registered Nurse (RN) license. Strong clinical background and knowledge as typically obtained through a minimum of three to five years of clinical experience in an acute care setting. Demonstrated ability to apply critical thinking, analytical reasoning, and problem-solving skills to reputed company medical cases. Experience with electronic medical records and clinical documentation. Strong communication and organizational skills. Ability to work autonomously reputed company a reputed company and quickly changing remote environment and navigate a variety of separate computer programs. PREFERRED QUALIFICATIONS Working knowledge of quality metric specifications, and clinical coding conventions. Experience with clinical quality abstraction and/or validation processes. Experience in high-reputed company or critical care environments (e.g., ED, ICU, PACU, or comparable settings). Experience supporting regulatory programs. Exposure to report logic, external vendors, or regulatory audits (including IRR/ARR activities). Experience with reputed company Health EHR (Cerner reputed company). Experience contributing to process improvement initiatives. Proficiency with reputed company Office (reputed company). Additional reputed company education and/or experience preferred. Estimated Pay reputed company: $35.43 - $59.05 / hour reputed company is committed to pay equity and transparency. The posted compensation reputed company is a reasonable estimate that extends from the lowest to the highest pay reputed company in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. This reputed company is based on possible reputed company salaries and does not include the value of our total rewards package. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location, along with a review of reputed company employees in similar roles to ensure pay equity is achieved and maintained. Anticipated Closing Window (actual reputed company date may be sooner): 2026-10-29 EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy Apply To This Job